RT Journal Article SR Electronic T1 Toxicity of voriconazole on corneal endothelial cells in an animal model JF British Journal of Ophthalmology JO Br J Ophthalmol FD BMJ Publishing Group Ltd. SP 905 OP 908 DO 10.1136/bjophthalmol-2011-301129 VO 96 IS 6 A1 Sang Beom Han A1 Hee Kyung Yang A1 Joon Young Hyon A1 Young Joo Shin A1 Won Ryang Wee YR 2012 UL http://bjo.bmj.com/content/96/6/905.abstract AB Aims To determine the effect of intracamerally injected voriconazole on corneal endothelial cells in rabbit eyes.Methods Various concentrations of voriconazole (0%, 0.03%, 0.1%, 0.25%, 0.5% and 1%) were injected intracamerally in 36 eyes of 18 rabbits (six eyes for each concentration). Measurements of endothelial cell counts and central corneal thickness were performed at 30, 60, 90 and 120 min after the injection. In each group, five of six corneas were used for the live/dead cell assay; staining with alizarin red and trypan was done. In one cornea from each group, scanning electron microscopy was performed.Results There was no significant difference in endothelial cell counts and central corneal thickness among the six groups at any time points. The live/dead cell assay revealed no difference in the mean percentage of dead endothelial cells among the six groups (p=0.504). However, scanning electron microscopy revealed blurring of cell border at voriconazole concentrations ≥0.25%, indicating cell wall damage.Conclusion Intracameral injection of voriconazole did not induce a significant gross change in rabbit corneal endothelial cells up to a concentration of 1%. However, risk of microstructural damages might exist with a concentration of ≥0.25%.